Name:

Address:

Home Telephone No.

Work Telephone No.

Fax No.

E-Mail:

Size of Party.

01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 More See Comments

Number of adults.

(Under 16 years of age)

(Under 2 years of age)

Property Name:

(City & Country)

Type of Property:

Hotel Apartment Villa

Type of Room:

Single Room Twin Room Double Room Triple Room Studio Apartment 1 Bedroom Apt 2 Bedroom Apt 2 Bedroom Villa 3 Bedroom Apt 3 Bedroom Villa 4 Bedroom Villa 5 Bedroom Villa 6 Bedroom Villa

No. of Rooms Required:

01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 More

Arrival Date:

1999 2000 2001

Departure Date:

1999 2000 2001

Total Cost of Booking:

Payment Due Now:

Balance Due:

Balance Due Date:

Name of Credit Card:

Card Number:

Expiry Date:

Name as it appears on your credit card:

Comments

By submitting this on-line booking form, I, the Party Leader, wish to rent from Apartments Direct Limited, the above mentioned accommodation as stated in Section 3 above. I hereby declare that I am authorised by all members of my rental party to reserve the above mentioned accommodation and that we have read and agree with the Terms and Conditions attached to this booking.

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